QUESTIONNAIRE

Legal Name

Phone

E-mail Address

Preferred Contact Method: E-mail? Phone?

FetLife? Twitter? IG?

Desired Location: Sarasota? Fort Lauderdale? Your Home? Hotel?

Level of Experience: No Prior Experience? Novice? Intermediate? Very Experienced?

Have you served other professional Dommes?

How would you describe yourself:
Submissive –  LEAD ME. I submit fully to your will and guidance.
Fetishist – TEASE ME. Tempt me down the rabbit hole of my perversions.
Slave – OWN ME. I surrender all that I am and may ever be to you.
Masochist – HURT ME. My suffering is your ecstasy.
Servant – USE ME. My life’s purpose is in your hands, awaiting direction.
Sissy – DRESS ME. Make me your sweet little doll.
Little – MOTHER ME. Nurture and protect me from the big bad world.

Desired Level of Pain: No pain? Light? Moderate? Heavy?

Limits for Bodily Marks:
Strictly zero marks or bodily evidence whatsoever?
Light marks are acceptable?
Only marks concealed under daywear?
Moderate marks are acceptable?
My Goddess is an artist, and I shall be her canvas?

Session Interests:
Ageplay: Adult Baby (Ages 0-3)
Ageplay: Little (Ages 3-10)
Ageplay: Middle (Ages 10-17)
Abandonment / Ignoring
Bastinado
Blindfolds
Bondage (Light)
Breath Play
Caning
CBT / Ball Busting
CFnm (Clothed Female, Naked Male)
Corporal Punishment
Diaper Fetish
Dildo Worship
Domestic Service
Financial Domination
Flogging
Foot Fetish / Foot Worship
Forced Feminization
Forced Fitness / Exercise
Forced Intoxication (legal only)
Humiliation (Light: make me blush)
Humiliation (Heavy: make me cry)
Leg Worship
Male Chastity
Nipple Torture
Over the Knee Spanking
Orgasm Denial Fantasy
Pantyhose Worship
Pet Play
Scratching
Sissification
Slut Training
Smoking Fetish
Sock Worship
Sounding ( you need to purchase a set for me to use)
Stockings Worship
Tease & Denial
Tickling
Underarm Worship
Watersports / Golden
Whipping
Other (explain below)
Explain your general session desires here.

By submitting this application, I understand that it is not a guarantee of acceptance.

I am over 18 years old.

I understand Domination is not an escort and does not include sex or any illegal acts.

I have read the deposit and cancellation sections and will abide by them completely.  Tribute is due at the beginning of each reservation.

I understand the list of presented fetishes and accept all Domina Paulina’s Hard Limits.

I understand unlisted fetishes are welcome with the understanding that Domina Paulina has the final determination of the scene.